Provider Demographics
NPI:1376553263
Name:THALLAPUREDDY, ANANTHA LAKSHMI (MD,)
Entity Type:Individual
Prefix:DR
First Name:ANANTHA
Middle Name:LAKSHMI
Last Name:THALLAPUREDDY
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 IRA YOUNG DR
Mailing Address - Street 2:APT # 304
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6300
Mailing Address - Country:US
Mailing Address - Phone:937-631-0327
Mailing Address - Fax:
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3403207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology